CPT 93504
Low
$4.6k
Average
$8.7k
Median
$8.9k
High
$18k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
19 hospitals; the 90th percentile is 2.7× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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19 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | AGH LAVEEN LLC Phoenix, AZ case rate · outpatient | 2 | $9.0k | $9.0k | — | — | — | $9.0k – $9.0k |
| 2 | AGH MESA LLC Mesa, AZ case rate · outpatient | 2 | $9.0k | $9.0k | — | — | — | $9.0k – $9.0k |
| 3 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 2 | $4.6k | $4.6k | $516 | 11% | — | $4.1k – $5.2k |
| 4 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 2 | $4.6k | $4.6k | $516 | 11% | — | $4.1k – $5.2k |
| 5 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 2 | $4.6k | $4.6k | $516 | 11% | — | $4.1k – $5.2k |
| 6 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 2 | $4.6k | $4.6k | $516 | 11% | — | $4.1k – $5.2k |
| 7 | AdventHealth Porter Denver, CO fee schedule · outpatient | 2 | $4.6k | $4.6k | $516 | 11% | — | $4.1k – $5.2k |
| 8 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $11.5k | $11.5k | $158 | 1% | — | $11.4k – $11.7k |
| 9 | Boulder Community Health Lafayette, CO facility · case rate · outpatient | 2 | $9.1k | $9.1k | $139 | 2% | — | $9.0k – $9.2k |
| 10 | Denver Health and Hospital Authority Denver, CO facility · case rate · outpatient | 1 | $8.1k | $8.1k | — | — | — | $8.1k – $8.1k |
| 11 | GOOD SAMARITAN MEDICAL CENTER, LLC DBA LAFAYETTE, CO facility · case rate · outpatient | 7 | $12.7k | $12.5k | $426 | 3% | — | $11.5k – $12.7k |
| 12 | Holy Redeemer Health System Meadowbrook, PA facility · case rate · outpatient | 1 | $8.9k | $8.9k | — | — | — | $8.9k – $8.9k |
| 13 | INTERMOUNTAIN FRONT RANGE INC. DBA INTERMOUNTAIN HEALTH LUTHERAN HOSPITAL WHEAT RIDGE, CO facility · case rate · outpatient | 8 | $12.7k | $12.5k | $402 | 3% | — | $11.5k – $12.7k |
| 14 | Ingalls Memorial Hospital Harvey, IL fee schedule · outpatient | 1 | $7.7k | $7.7k | — | — | — | $7.7k – $7.7k |
| 15 | Manchester Memorial Hospital Vernon Rockville, CT case rate · outpatient | 1 | $6.6k | $6.6k | $134 | 2% | — | $6.4k – $6.7k |
| 16 | NorCal HealthConnect LLC Healdsburg, CA fee schedule · outpatient | 1 | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 17 | SAINT JOSEPH HOSPITAL, INC. DBA INTERMOUNTAIN NHEALTH SAINT JOSEPH HOSPITAL DENVER, CO facility · case rate · outpatient | 8 | $12.7k | $12.5k | $402 | 3% | — | $11.5k – $12.7k |
| 18 | UConn Health, Waterbury Hospital Waterbury, CT facility · case rate · outpatient | 1 | $10.2k | $10.2k | — | — | — | $10.2k – $10.2k |
| 19 | Vassar Brothers Medical Center Poughkeepsie, NY fee schedule · outpatient | 1 | $18k | $18k | — | — | — | $18k – $18k |
← Payers reporting CPT 93504 · Snapshot 20261113T090226Z-3ce6c0b8